- The Schwartz Center for Compassionate Care runs a program called Schwartz Center Rounds that aims to foster compassion among healthcare providers through discussion sessions.
- Schwartz Center Rounds were piloted in 1997 and are now held at over 240 healthcare sites, reaching over 70,000 providers annually. They discuss challenging patient situations and the emotional aspects of caregiving.
- Evaluations found that the Rounds help providers feel less alone and stressed, gain strategies for difficult patient cases, and appreciate colleagues' roles more. Many sites reported positive impacts like policy changes.
Name Group :
Hardiana Hardiana0512@gmail.com
Rara Wahdiana rara.wahdiana3@gmail.com
Yuni Maisaroh yuni_mai@yahoo.co.id
Nursing academy of east kotawaringin
www.akperkotim.ac.id/web/
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
Name Group :
Hardiana Hardiana0512@gmail.com
Rara Wahdiana rara.wahdiana3@gmail.com
Yuni Maisaroh yuni_mai@yahoo.co.id
Nursing academy of east kotawaringin
www.akperkotim.ac.id/web/
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
Palliative care is an approach to care which improves the quality of life of patients and their families facing the problem associated with life-threatening illness.
Hospice care and palliative care: Is there a difference between the two, and if so, what?
Many people still think that palliative care means hospice care. But today, hospice is only a small part of palliative care.
The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed.
Dr. Jim Meadows, Director of Hospice and Palliative Care at Tennessee Oncology, will discuss this important topic. How does a family and a health care team best work together to guide a patient through a terminal illness? How does everyone continue to support quality, patient-centered, end-of-life care?
Patient engagement is a critical element of successful transitions of care. Without it, patients are improperly educated about their condition and inadequately prepared to self-manage.
Healthcare organizations need effective and scalable ways of engaging patients post-discharge.
How facilitated conversations can improve compassionate patient and family centered care.
Presenters:
Bridge Mudge RN, MS, CNS-BC, Dartmouth-Hitchcock Medical Center, Lebanon, NH
Marjorie Stanzler, Senior Director of Programs, The Kenneth B. Schwartz Center, Boston, MA
Palliative care is an approach to care which improves the quality of life of patients and their families facing the problem associated with life-threatening illness.
Hospice care and palliative care: Is there a difference between the two, and if so, what?
Many people still think that palliative care means hospice care. But today, hospice is only a small part of palliative care.
The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed.
Dr. Jim Meadows, Director of Hospice and Palliative Care at Tennessee Oncology, will discuss this important topic. How does a family and a health care team best work together to guide a patient through a terminal illness? How does everyone continue to support quality, patient-centered, end-of-life care?
Patient engagement is a critical element of successful transitions of care. Without it, patients are improperly educated about their condition and inadequately prepared to self-manage.
Healthcare organizations need effective and scalable ways of engaging patients post-discharge.
How facilitated conversations can improve compassionate patient and family centered care.
Presenters:
Bridge Mudge RN, MS, CNS-BC, Dartmouth-Hitchcock Medical Center, Lebanon, NH
Marjorie Stanzler, Senior Director of Programs, The Kenneth B. Schwartz Center, Boston, MA
Community-based Palliative Care: Trends, Challenges, Examples and Collaborati...wwuextendeded
Community-based Palliative Care: Trends, Challenges, Examples and Collaboration with Payers - Eric Wall, MD, MPH
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
This webinar provides resources and guidance on effective conversations with patients and families about their goals, wishes, and values for end-of-life care.
I didn't know this option of Palliative care existed prior to my mother's passing earlier this year of colorectal cancer. However, I do now know about it and want to share it with all of you
Why screeing cancer patients for distress will increase disparities in psycho...James Coyne
Keynote address
Implementing screening of cancer patients for distress will not improve patient outcomes and may aggravate existing biases in who get psychosocial services.
Join international leader in Palliative Medicine, Dr. Cleary, as he discusses a variety of unique issues faced by late stage colorectal cancer patients, including the integration of palliative care, end of life planning, keeping hope alive, and more.
Study from the American College of Wound Healing & Tissue Repair (ACWHTR)
"Integrating patient concerns into care plans, physicians increase treatment adherence"
At the 2014 HFMA National Institute, PYA Principal and Chief Medical Officer of PYA Analytics, Kent Bottles, MD, spoke about the strategies that hospitals and health systems are using to decrease per-capita cost, while increasing quality. In the session, “Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians and Administrators,” Bottles offered tactics for engagement.
Tricia Strusowski, MS, RN
Director, Cancer Care Management
Helen F. Graham Cancer Center
Christiana Care Health System
Sharon Gentry, RN, MSN, AOCN, CBCN
Breast Health Navigator
Derrick L. Davis Forsyth Regional Cancer Center
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
It’s a pleasure to be here with you today – and I’ve truly enjoyed learning more about your work through the sessions I’ve attended. When I was asked to come share with you today I was told the one of the things folks were interested in hearing about is how you can sustain compassion as you do tough work in sometimes challenging conditions. I think I have an inkling about that challenge from my years working in HIV/AIDS and victims of violence programs. As you heard from my bio, I’ve spent time both in and out of healthcare over the past 20-plus years – and I’m here to tell you that you are doing hard work. Working for the environment mostly felt a heck of a lot healthier than working in healthcare. But a passion for human service brought me back – and I imagine that’s part of what keeps you here too.
I’ll start today by sharing a short video about how -- and why -- the Schwartz Center was founded back in 1995: --------- As a healthcare attorney, Ken was keenly aware of the trends facing healthcare in the early 1990s. Healthcare was becoming more like a business. With healthcare spending spiraling, there were growing pressures to contain costs and do more with less. (Sound familiar?) In that context, Ken was worried that financial pressures would take the humanity and empathy out of the healthcare system. And that continues to be a concern of ours today. While Ken was an extraordinary individual, he knew he could have been any one of us. During his illness, he spent hours talking with his friends, family and caregivers about his legacy—he envisioned an organization that would promote the patient-caregiver relationship and provide hope to patients, support for caregivers, and sustenance to the healing process. What emerged from Ken’s tragic death was the Schwartz Center for Compassionate Healthcare, a national, nonprofit organization focused on strengthening the relationship between patients and caregivers. Today, we are based at Massachusetts General Hospital in Boston, but our programs reach more than 70,000 caregivers a year in 34 states – and there is a waiting list of healthcare institutions that want to participate in our programs.
There is a growing body of evidence that demonstrates how patient-caregiver relationships and effective communication are associated with improved clinical and functional status, increased patient and physician satisfaction, greater adherence to clinical guidelines and treatment protocols, patient trust, and significant reductions in medical malpractice claims. In fact, the Schwartz Center is currently working on a pilot project with a major medical malpractice carrier whose data shows that 70% of malpractice claims are related to breakdowns in communication. Beyond the research, I bet every one of you in this room can think of a personal experience that demonstrates the positive impact of good communication and connection --- and probably another example of what can happen when communication breaks down. We decided to go a step further last fall and commissioned a national poll of 800 recently hospitalized patients and 500 physicians to find out what patients and doctors think about compassionate healthcare.
With that backdrop of what patients are expecting, and with the understanding of what a difference Compassion can actually make, is anyone feeling a little pressure to perform ? Superheroes are great, but what we really need are some systematic supports to allow you to do your best work. The Masslach Burnout Inventory (MBI) looks at three key components of burnout: E motional Exhaustion, Depersonalization, and [lack of] Sense of Personal Achievement . Clinicians and administrators alike need to be attuned to burnout warning flags, and build in personal caretaking strategies and systemic supports to manage stressors. (Anecdote from Medical Error session in Stoughton.) [ Interactive Exercise here ] Schwartz Center Rounds is one tool – one which we believe can be quite powerful.
Schwartz Center Rounds utilize a case-based format to stimulate discussion about an identified topic with a skilled facilitator to encourage interaction and highlight salient points. A physician leader and planning committee at each site choose a case and identify a small panel of caregivers to share perspectives on the social and emotional challenges it raised. H eld regularly 6-12 times per year A hallmark of the program is interdisciplinary dialogue. Professionals from diverse disciplines participate in the Rounds, including physicians, nurses, social workers, psychologists, allied health professionals and chaplains. After listening to panelists’ brief presentations, caregivers in attendance are invited to share their own perspectives on the case and broader related issues. Patient identifiers are omitted to protect confidentiality, and all participants are expected to maintain the confidentiality of what caregivers themselves share. Patients and family members do not generally attend. However, once Rounds are well established, sites are encouraged to occasionally hold a special Rounds session where the case presentation includes a patient or family member perspective, enabling caregivers to comment and ask questions. These are always powerful Rounds. Purpose: -- To provide a forum where caregivers from diverse disciplines discuss difficult emotional and social issues inherent in patient care; -- To discuss how communication among caregivers and between caregivers and patients influences care
Mostly Hospitals -- Some Nursing homes, outpatient practices;
We recently received an email from a doctor who started Schwartz Center Rounds at his hospital in Fort Washington, Pennsylvania. Here’s what he said about their first session: “ Our first Schwartz Center Rounds was a home run. We had about 120 people. It was a case of a little two-year-old girl from Haiti who was brought to our hospital for multiple surgeries. She came with her father and so all of the nurses became her surrogate mothers. In the middle of her treatment, things went badly and she almost died. She survived but the caregivers who treated her experienced an emotional roller coaster. When her pediatric surgeon said “surgeons are not supposed to have feelings” as her eyes became wet, I knew we were on to something special. Toward the end of the session, our head of diversity who had been very involved with this family appeared in the room with the child and her father. There were few dry eyes in the audience. I wish you had been there. It was so moving. I can’t imagine any other session will top this.”
Rounds are an opportunity for dialogue that doesn’t happen anywhere else in the hospital.”
more heart in what we do with patients…the connections are deeper, we are less afraid of difficult topics.
Illustration by George Ulrich Nila Webster: I have a wish for all of the caregivers whose tireless efforts make a difference in the lives of their patients. My wish is that they take the time to replenish and restore themselves, to experience the relaxation response documented by Dr. Herbert Benson and the synchronization of the rhythm of breathing to the rhythm of the heart advanced by French psychiatrist Dr. David Servan-Schrieber , and to find an oasis of serenity. May this time be that of pure healing, that as they fortify others, they too are fortified.
Rounds details: Schwartz Center provides: Start-up training: Phone consultation & site visit Materials to build support and encourage attendance Ongoing consultation and quality assurance Periodic peer learning meetings for Rounds leaders Internet resources specifically for Rounds leaders Site agrees to: Secure support of senior management Appoint a physician leader, facilitator and administrative coordinator Establish a multidisciplinary planning committee Adhere to Schwartz Center Rounds model Submit evaluation summaries Acknowledge Schwartz Center support and Rounds funders Bd. Priorities given high demand: Focus expansion where we have clusters now ( New England, NY, NJ, PA, DC, MI, IL, FL, TX, CA) Plus academic medical centers and NCI Community Cancer Centers